Recent trends of ocular complications in patients with atopic dermatitis

Purpose To elucidate the recent trends in prevalence and characteristics of ocular complications of atopic dermatitis (AD). Study Design Cross-sectional observational study. Methods Among AD patients who visited our department between 2012 and 2015, 70 patients (140 eyes; recent AD group) who gave i...

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Veröffentlicht in:Japanese journal of ophthalmology 2019-09, Vol.63 (5), p.410-416
Hauptverfasser: Yamamoto, Kaori, Wakabayashi, Yoshihiro, Kawakami, Setsuko, Numata, Takafumi, Ito, Tomonobu, Okubo, Yukari, Tsuboi, Ryoji, Goto, Hiroshi
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container_issue 5
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container_title Japanese journal of ophthalmology
container_volume 63
creator Yamamoto, Kaori
Wakabayashi, Yoshihiro
Kawakami, Setsuko
Numata, Takafumi
Ito, Tomonobu
Okubo, Yukari
Tsuboi, Ryoji
Goto, Hiroshi
description Purpose To elucidate the recent trends in prevalence and characteristics of ocular complications of atopic dermatitis (AD). Study Design Cross-sectional observational study. Methods Among AD patients who visited our department between 2012 and 2015, 70 patients (140 eyes; recent AD group) who gave informed consent to participate in the study were analyzed. Following a medical interview, ophthalmological examinations were conducted for ocular complications related to AD. The data were compared to those of 280 AD patients (560 eyes) analyzed in a similar study conducted at our department in 1991–1993 (previous AD group). Results Blepharitis was found in 58 eyes (41%) in the recent AD group, and the frequency was significantly lower compared to the previous AD group (294 eyes, 53%) (p 
doi_str_mv 10.1007/s10384-019-00678-3
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Study Design Cross-sectional observational study. Methods Among AD patients who visited our department between 2012 and 2015, 70 patients (140 eyes; recent AD group) who gave informed consent to participate in the study were analyzed. Following a medical interview, ophthalmological examinations were conducted for ocular complications related to AD. The data were compared to those of 280 AD patients (560 eyes) analyzed in a similar study conducted at our department in 1991–1993 (previous AD group). Results Blepharitis was found in 58 eyes (41%) in the recent AD group, and the frequency was significantly lower compared to the previous AD group (294 eyes, 53%) (p &lt; 0.05). Tears in retina or pars plana ciliaris occurred in 22 eyes (4%) in the previous AD group, compared with none in the recent AD group (p &lt; 0.01). Retinal detachment was observed in 12 eyes (2%) in the previous AD group, and none in the recent AD group (p &lt; 0.01). Atopic keratoconjunctivitis (AKC) increased significantly in the recent AD group compared to the previous AD group (74.3% vs. 39.5%) (p &lt; 0.001). Patients with a habit of slapping around the eye decreased significantly from 32.5% in the previous AD group to 12.1% in the recent AD group (p &lt; 0.001). Conclusions Ocular complications in AD patients show a trend of decrease in recent years, which presumably is attributed to educational activities to increase patient awareness and advances in therapeutic strategy.</description><identifier>ISSN: 0021-5155</identifier><identifier>EISSN: 1613-2246</identifier><identifier>DOI: 10.1007/s10384-019-00678-3</identifier><identifier>PMID: 31243592</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Adult ; Age Distribution ; Antiretroviral drugs ; Atopic dermatitis ; Blepharitis ; Clinical Investigation ; Complications ; Cross-Sectional Studies ; Dermatitis ; Dermatitis, Atopic - complications ; Eczema ; Eye ; Eye (anatomy) ; Female ; Humans ; Incidence ; Informed consent ; Japan - epidemiology ; Keratoconjunctivitis ; Keratoconjunctivitis - epidemiology ; Keratoconjunctivitis - etiology ; Male ; Medicine ; Medicine &amp; Public Health ; Ophthalmology ; Retina ; Retinal Detachment - epidemiology ; Retinal Detachment - etiology ; Retrospective Studies ; Risk Factors ; Sex Distribution ; Tears ; Trends</subject><ispartof>Japanese journal of ophthalmology, 2019-09, Vol.63 (5), p.410-416</ispartof><rights>Japanese Ophthalmological Society 2019</rights><rights>Japanese Journal of Ophthalmology is a copyright of Springer, (2019). All Rights Reserved.</rights><rights>Copyright Springer Nature B.V. 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c427t-554c9a4dd694f6f20dc57d6b826b56f02b217c744293d7bf677db7ccce715bce3</citedby><cites>FETCH-LOGICAL-c427t-554c9a4dd694f6f20dc57d6b826b56f02b217c744293d7bf677db7ccce715bce3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10384-019-00678-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10384-019-00678-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31243592$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yamamoto, Kaori</creatorcontrib><creatorcontrib>Wakabayashi, Yoshihiro</creatorcontrib><creatorcontrib>Kawakami, Setsuko</creatorcontrib><creatorcontrib>Numata, Takafumi</creatorcontrib><creatorcontrib>Ito, Tomonobu</creatorcontrib><creatorcontrib>Okubo, Yukari</creatorcontrib><creatorcontrib>Tsuboi, Ryoji</creatorcontrib><creatorcontrib>Goto, Hiroshi</creatorcontrib><title>Recent trends of ocular complications in patients with atopic dermatitis</title><title>Japanese journal of ophthalmology</title><addtitle>Jpn J Ophthalmol</addtitle><addtitle>Jpn J Ophthalmol</addtitle><description>Purpose To elucidate the recent trends in prevalence and characteristics of ocular complications of atopic dermatitis (AD). Study Design Cross-sectional observational study. Methods Among AD patients who visited our department between 2012 and 2015, 70 patients (140 eyes; recent AD group) who gave informed consent to participate in the study were analyzed. Following a medical interview, ophthalmological examinations were conducted for ocular complications related to AD. The data were compared to those of 280 AD patients (560 eyes) analyzed in a similar study conducted at our department in 1991–1993 (previous AD group). Results Blepharitis was found in 58 eyes (41%) in the recent AD group, and the frequency was significantly lower compared to the previous AD group (294 eyes, 53%) (p &lt; 0.05). Tears in retina or pars plana ciliaris occurred in 22 eyes (4%) in the previous AD group, compared with none in the recent AD group (p &lt; 0.01). Retinal detachment was observed in 12 eyes (2%) in the previous AD group, and none in the recent AD group (p &lt; 0.01). Atopic keratoconjunctivitis (AKC) increased significantly in the recent AD group compared to the previous AD group (74.3% vs. 39.5%) (p &lt; 0.001). Patients with a habit of slapping around the eye decreased significantly from 32.5% in the previous AD group to 12.1% in the recent AD group (p &lt; 0.001). Conclusions Ocular complications in AD patients show a trend of decrease in recent years, which presumably is attributed to educational activities to increase patient awareness and advances in therapeutic strategy.</description><subject>Adult</subject><subject>Age Distribution</subject><subject>Antiretroviral drugs</subject><subject>Atopic dermatitis</subject><subject>Blepharitis</subject><subject>Clinical Investigation</subject><subject>Complications</subject><subject>Cross-Sectional Studies</subject><subject>Dermatitis</subject><subject>Dermatitis, Atopic - complications</subject><subject>Eczema</subject><subject>Eye</subject><subject>Eye (anatomy)</subject><subject>Female</subject><subject>Humans</subject><subject>Incidence</subject><subject>Informed consent</subject><subject>Japan - epidemiology</subject><subject>Keratoconjunctivitis</subject><subject>Keratoconjunctivitis - epidemiology</subject><subject>Keratoconjunctivitis - etiology</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Ophthalmology</subject><subject>Retina</subject><subject>Retinal Detachment - epidemiology</subject><subject>Retinal Detachment - etiology</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Sex Distribution</subject><subject>Tears</subject><subject>Trends</subject><issn>0021-5155</issn><issn>1613-2246</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0ctKxDAUBuAgijOOvoALCbhxU8097VIGdYQBQXQd2iTVDG1Tkxbx7Y12VHChq4TkOyeXH4BjjM4xQvIiYkRzliFcZAgJmWd0B8yxwDQjhIldMEeI4IxjzmfgIMYNQogRSvbBjGLCKC_IHKzurbbdAIdgOxOhr6HXY1MGqH3bN06Xg_NdhK6DfZomGeGrG55hOfjeaWhsaNP64OIh2KvLJtqj7bgAj9dXD8tVtr67uV1erjPNiBwyzpkuSmaMKFgtaoKM5tKIKiei4qJGpCJYaskYKaiRVS2kNJXUWluJeaUtXYCzqW8f_Mto46BaF7VtmrKzfowqPT2nsiCsSPT0F934MXTpdknlhPOCon8Uk4lJLpMik9LBxxhsrfrg2jK8KYzURxpqSkOlNNRnGoqmopNt67Fqrfku-fr-BOgEYtrqnmz4OfuPtu9A05PW</recordid><startdate>20190901</startdate><enddate>20190901</enddate><creator>Yamamoto, Kaori</creator><creator>Wakabayashi, Yoshihiro</creator><creator>Kawakami, Setsuko</creator><creator>Numata, Takafumi</creator><creator>Ito, Tomonobu</creator><creator>Okubo, Yukari</creator><creator>Tsuboi, Ryoji</creator><creator>Goto, Hiroshi</creator><general>Springer Japan</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>7T7</scope><scope>7U9</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>20190901</creationdate><title>Recent trends of ocular complications in patients with atopic dermatitis</title><author>Yamamoto, Kaori ; Wakabayashi, Yoshihiro ; Kawakami, Setsuko ; Numata, Takafumi ; Ito, Tomonobu ; Okubo, Yukari ; Tsuboi, Ryoji ; Goto, Hiroshi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c427t-554c9a4dd694f6f20dc57d6b826b56f02b217c744293d7bf677db7ccce715bce3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Age Distribution</topic><topic>Antiretroviral drugs</topic><topic>Atopic dermatitis</topic><topic>Blepharitis</topic><topic>Clinical Investigation</topic><topic>Complications</topic><topic>Cross-Sectional Studies</topic><topic>Dermatitis</topic><topic>Dermatitis, Atopic - complications</topic><topic>Eczema</topic><topic>Eye</topic><topic>Eye (anatomy)</topic><topic>Female</topic><topic>Humans</topic><topic>Incidence</topic><topic>Informed consent</topic><topic>Japan - epidemiology</topic><topic>Keratoconjunctivitis</topic><topic>Keratoconjunctivitis - epidemiology</topic><topic>Keratoconjunctivitis - etiology</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Ophthalmology</topic><topic>Retina</topic><topic>Retinal Detachment - epidemiology</topic><topic>Retinal Detachment - etiology</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Sex Distribution</topic><topic>Tears</topic><topic>Trends</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yamamoto, Kaori</creatorcontrib><creatorcontrib>Wakabayashi, Yoshihiro</creatorcontrib><creatorcontrib>Kawakami, Setsuko</creatorcontrib><creatorcontrib>Numata, Takafumi</creatorcontrib><creatorcontrib>Ito, Tomonobu</creatorcontrib><creatorcontrib>Okubo, Yukari</creatorcontrib><creatorcontrib>Tsuboi, Ryoji</creatorcontrib><creatorcontrib>Goto, Hiroshi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Japanese journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yamamoto, Kaori</au><au>Wakabayashi, Yoshihiro</au><au>Kawakami, Setsuko</au><au>Numata, Takafumi</au><au>Ito, Tomonobu</au><au>Okubo, Yukari</au><au>Tsuboi, Ryoji</au><au>Goto, Hiroshi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Recent trends of ocular complications in patients with atopic dermatitis</atitle><jtitle>Japanese journal of ophthalmology</jtitle><stitle>Jpn J Ophthalmol</stitle><addtitle>Jpn J Ophthalmol</addtitle><date>2019-09-01</date><risdate>2019</risdate><volume>63</volume><issue>5</issue><spage>410</spage><epage>416</epage><pages>410-416</pages><issn>0021-5155</issn><eissn>1613-2246</eissn><abstract>Purpose To elucidate the recent trends in prevalence and characteristics of ocular complications of atopic dermatitis (AD). Study Design Cross-sectional observational study. Methods Among AD patients who visited our department between 2012 and 2015, 70 patients (140 eyes; recent AD group) who gave informed consent to participate in the study were analyzed. Following a medical interview, ophthalmological examinations were conducted for ocular complications related to AD. The data were compared to those of 280 AD patients (560 eyes) analyzed in a similar study conducted at our department in 1991–1993 (previous AD group). Results Blepharitis was found in 58 eyes (41%) in the recent AD group, and the frequency was significantly lower compared to the previous AD group (294 eyes, 53%) (p &lt; 0.05). Tears in retina or pars plana ciliaris occurred in 22 eyes (4%) in the previous AD group, compared with none in the recent AD group (p &lt; 0.01). Retinal detachment was observed in 12 eyes (2%) in the previous AD group, and none in the recent AD group (p &lt; 0.01). Atopic keratoconjunctivitis (AKC) increased significantly in the recent AD group compared to the previous AD group (74.3% vs. 39.5%) (p &lt; 0.001). Patients with a habit of slapping around the eye decreased significantly from 32.5% in the previous AD group to 12.1% in the recent AD group (p &lt; 0.001). Conclusions Ocular complications in AD patients show a trend of decrease in recent years, which presumably is attributed to educational activities to increase patient awareness and advances in therapeutic strategy.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>31243592</pmid><doi>10.1007/s10384-019-00678-3</doi><tpages>7</tpages></addata></record>
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subjects Adult
Age Distribution
Antiretroviral drugs
Atopic dermatitis
Blepharitis
Clinical Investigation
Complications
Cross-Sectional Studies
Dermatitis
Dermatitis, Atopic - complications
Eczema
Eye
Eye (anatomy)
Female
Humans
Incidence
Informed consent
Japan - epidemiology
Keratoconjunctivitis
Keratoconjunctivitis - epidemiology
Keratoconjunctivitis - etiology
Male
Medicine
Medicine & Public Health
Ophthalmology
Retina
Retinal Detachment - epidemiology
Retinal Detachment - etiology
Retrospective Studies
Risk Factors
Sex Distribution
Tears
Trends
title Recent trends of ocular complications in patients with atopic dermatitis
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